Individual provider Active NPI

Hubert Alfredo Rodriguez, MD

  • Pediatrics Physician
  • Bessemer, AL
National Provider Identifier
1902976186
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
7220 Issued in AL
Practice address
1090 9TH Ave SW
Suite 100
Bessemer, AL 35022-4530
Phone
(205) 481-1886
Fax
(205) 481-9034
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 7220 AL Primary

Addresses

Primary practice location

1090 9TH Ave SW
Suite 100
Bessemer, AL 35022-4530

Mailing address

1090 9TH Ave SW
Suite 100
Bessemer, AL 35022-4530
Phone (205) 481-1886

Other identifiers 1

IdentifierTypeStateIssuer
510-05687OtherALBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7220ALMDPediatrics Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1902976186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 9TH AVE SW",
            "address_2": "SUITE 100",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350224530",
            "telephone_number": "205-481-1886",
            "fax_number": "205-481-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 9TH AVE SW",
            "address_2": "SUITE 100",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350224530",
            "telephone_number": "205-481-1886",
            "fax_number": "205-481-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "HUBERT",
        "middle_name": "ALFREDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "7220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "510-05687",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.